Where I live in TX it is most common to have hall nurses & hall aides work either Mon-Fri in 3 different shifts i.e. 6am-2pm, 2pm-10pm & 10pm-6am. Those weekday people never work Sat-Sun. On Sat-Sun most of the NHs here have the hall nurse work 6am-10pm both Sat-Sun & one for overnight. Some of the aides pull a double shift also to make up for not being on during the week. This has been the case in the past 10 NHs I have experience with. The office staff meaning the DON, ADON, admissions, administrator, social worker & business office only work Mon-Fri 8-5. Now this means that none of the weekend hall staff immediately caring for the patient have ever met or talked to any of the the front office staff esp the DON. In addition to this the overnight nurses during the week never talk to or meet the front office staff or the people in charge of them & their jobs. This presents common problems & I am curious as to why this is a typical setup. There is a weekend supervisor in most facilities that also does not in reality really know anyone or coordinate or report to the DON or anyone else during the week. In dad's current facility she is a figurehead & is stuck behind a closed & locked door all weekend if she is even in house. Several weekends she is not present & unless dad is a serious med emer. you aren't even allowed to have her call you back after leaving a message for her. I am curious as to why the setup is that no one that is really in charge of hiring-firing-training is ever meeting or speaking with people responsible for patient care during several hours of the week. There is no layover of front line care staff & DON or ADON when the whole idea of a NH is to get round the clock care. Basically under the right or wrong weekend sup the weekends are open season on leaving patients in their beds all day & night, leaving them unchanged when it comes to diapers. And I have witnessed this frequently on dad with bed sores, skin breakdown. I have brought up the subject with DON but it doesn't matter because she has no communication with anyone in house when DON isn't there.
Anyway, my question is what is NH staffing like as in Weekday-Weekend staffing in your area of the country? Please I would like to know if this is unusual.